失眠症的中医证及其常见症状的临床研究.pdfVIP

3.714脉弦(41.014)+2.938胁痛胁胀 (18.886)；“脾”脏症状与病位在脾的失眠的关 系：Logit(p)= -10.686+2.653泄泻（14.201）+3.833厌食纳少（46.180）+4.959脉 细弱或濡（142.521）+2.386腹胀（10.869）+3.531下肢浮肿（34.147）；“心”脏症 状与病位在心的失眠的关系：Logit(p)= -4.079+3.406心烦(30.138)+ 1.472多梦 (4.356)+ 2.403面色无华(11.054)+ 2.901胆怯易惊(18.190)。 结论：①失眠症女性患者比例明显高于男性患者，其中脑力劳动或退休、性格 内向以及文化程度在中学或大学水平的人失眠的比例更高。②失眠的虚证和实证均 较常见，且虚证略多于实证，五脏皆有失眠，病位以肝居多，心、脾次之。失眠的 证型中出现频率前三位的是肝气滞型、心血虚型、脾痰湿型。③失眠的患者中有一 半以上是入睡期失眠。病位在肝的失眠多表现为入睡困难，病位在肾的失眠多表现 为早醒。④头晕、脉弦、胁痛胁胀对失眠病位在肝具有诊断意义；泄泻、厌食纳 少、脉细弱或濡、腹胀、下肢浮肿对失眠病位在脾具有诊断意义；心烦、多梦、面 色无华、胆怯易惊对失眠病位在心具有诊断意义。 关键词 失眠症；五脏；病因；证型；PSQI The classification of traditional Chinese medicine and insomnia common symptom clinical research Speciality： cerebrovascular disease’ therapy with Integrated Traditional and Western Medicine Author ： Wang Hongjiang Tutor： Prof. Li Chunhong abstract Objective ：For insomnia dialectical classification, always does not have uniform standard . Analysis of the basic characteristics of insomnia syndrome, help to use traditional Chinese medicine treats dialectical method of insomnia treated effectively . Research insomnia patients syndromes distribution ；Preliminary screening of syndromes insomnia diagnostic index ；Research insomniacs different syndromes main show with symptoms and between the difference；Discuss the different types of insomnia patients with insomnia and the contact between the syndromes . Methods ：Use direct the questionnaire survey form, select from June 2011 to December 2011 Chinese medicine hospital outpatient service and jinan in hospital wards of the insomnia patient, to fill in the insomnia syndrome questionnaire, with Pittsburgh sleep quality index (PSQI), Hamilton anxiet